- CVS Health (Denver, CO)
- …And we do it all with heart, each and every day. **Position Summary** The ** Utilization Management Clinical Nurse Consultant** utilizes clinical ... Arizona Time Zone. **Preferred Qualifications** : + Previous experience with utilization management . + Previous clinical experience in Emergency Department,… more
- Humana (Denver, CO)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent… more
- CVS Health (Denver, CO)
- …of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active current ... additional Nursing Licenses as business needs require. **Preferred Qualifications** Utilization Management experience preferred **Education** Education: Diploma… more
- CenterWell (Denver, CO)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Centene Corporation (Denver, CO)
- …and provide recommendations to senior management of process improvements within utilization management + Manages and oversees cases to ensure timely ... changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services...to the interdepartmental teams on training needed within the utilization management team based on trends +… more
- HCA Healthcare (Denver, CO)
- …for Registered Nurses!** **Introduction** Do you have the career opportunities as a(an) Clinical Nurse Coordinator Inpatient Surgery you want with your current ... of colleagues. Do you want to work as a(an) Clinical Nurse Coordinator Inpatient Surgery where your...skills, and management activities. The CNC provides clinical management to the department through coordination… more
- HCA Healthcare (Denver, CO)
- …Rose we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Medical Oncology and access programs to assist with every ... gain certifications and job skills. Apply today for our Clinical Nurse Coordinator Medical Oncology opening and...skills, and management activities. The CNC provides clinical management to the department through coordination… more
- Evolent (Denver, CO)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- HCA Healthcare (Greenwood Village, CO)
- …midpoint of the range. **Introduction** Do you have the career opportunities as a Clinical Manager Registered Nurse you want with your current employer? We have ... of colleagues. Do you want to work as a Clinical Manager Registered Nurse where your passion...performance of assigned home health care team(s)Supervises ongoing case management of all patients ensuring an accurate evaluation and… more
- CVS Health (Denver, CO)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... self-insured clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures… more
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